CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: University of Alabama Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $2,820
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 26.40x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at University of Alabama Hospital is $2,820. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.40x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,820

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Insurance Median: $2,820 (2640%)
Ins. Median: $2,820 (2640% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2640% of the Medicare baseline (a markup of 2540%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $88 - $3,202 82%
Birmingham Fc $95 89%
Blue Cross Blue Shield $95 89%
Cooper Green $95 89%
Davita Villagehealth $95 89%
Jefferson County Sheriff $95 89%
Triwest $95 89%
UnitedHealthcare $95 - $2,048 89%
Viva $96 - $150 90%
Cigna $102 - $2,524 95%
Ambetter / Centene $131 123%
University Of Alabama $1,659 - $1,884 1553%
Aetna $2,024 - $2,298 1895%
Coventry $2,157 - $3,042 2019%
North Alabama Managed Care $2,157 - $2,449 2019%
Comp One $2,389 - $2,712 2237%
Construction Claims Management $2,482 - $2,818 2324%
Alamed $2,488 - $2,825 2329%
Corvel $2,654 - $3,014 2485%
Evolutions $2,654 - $3,390 2485%
Healthcare Alliance $2,654 - $3,014 2485%
Novanet $2,654 - $3,390 2485%
Prime Health Services $2,654 - $3,390 2485%
Select Value Care $2,654 - $3,014 2485%
Starcare $2,654 - $3,014 2485%
Tethys $2,654 - $3,014 2485%
Multiplan $2,721 - $3,089 2548%
Department Of Labor $2,820 - $3,202 2640%
Geha $2,820 - $3,202 2640%
Gulf Health Plans $2,820 - $3,202 2640%
Heritage Summit Health $2,820 - $3,202 2640%
Mississippi Physicians $2,820 - $3,202 2640%
Phifer $2,820 - $3,202 2640%
Preferred Health Partnership $2,820 - $3,202 2640%
Southern Nuclear $2,820 - $3,202 2640%
Vantage Health Plan $2,820 - $3,202 2640%
Galaxy Health Network $2,986 - $3,390 2796%
National Provider Network $2,986 - $3,390 2796%
North Mississippi Health Link $2,986 - $3,390 2796%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals